| Organization Name: | COUNTY OF WAUSHARA |
| NPI Number: | 1568517688 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIAN C POTHIER (DIRECTOR) |
| Mailing Address: | 230 Park St Wautoma |
| State: | WI US |
| Postal Code: | 549829031 |
| Phone Number: | 9207870412 |
| Fax Number: | 9207870423 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 01/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 6001117 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |